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NPI · 1104954585 · NPPES-sourced

Wilson Pharmacy LLC

ActiveCommunity/Retail Pharmacy
NPI Number
1104954585
Type 2 · Organisation
Taxonomy Code
3336C0003X
Contact
(870) 655-8415
License AR · AR20387
Last Updated
About 9 years ago (Dec 2016)
Enumerated 2007-02-28
Primary practice addressAR · 72395-1127
5 N Jefferson StWilson, AR 72395-1127
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About this NPIWhat this record shows.

NPI 1104954585 is registered to Wilson Pharmacy LLC, a healthcare organisation classified as "Community/Retail Pharmacy" and located at 5 N Jefferson St in Wilson, Arkansas. The organisation's authorised official is Heather Wagner. The organisation has been enumerated in the NPI registry since 2007.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
2007-02-28
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Medicaid

Other

  • 2166426· Issued by PK

Source: NPPES public registry.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Wilson Pharmacy LLC accepts. To confirm in-network status with your specific health plan, contact Wilson Pharmacy LLC directly at (870) 655-8415.

Frequently asked

Yes. NPI 1104954585 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Community/Retail Pharmacy is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (870) 655-8415.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Wilson Pharmacy LLC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy3336C0003X
Last updated2016-12
Enumerated2007-02-28
StatusActive
Partneri
partner offer
Tools for healthcare teams.
Curated partner offers for clinics and front-desk staff.
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1 record · same addressOther providers at this location.

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Same specialtyOther Community/Retail Pharmacy providers in Arkansas.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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